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1447670864
VERNON ARTHUR STATHAM
MADISON, AL
NPI
1447670864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-074116)
Enumeration Date
2014-04-24
Last Update Date
2014-04-24
Business Address
Mr. VERNON ARTHUR STATHAM
8375 HIGHWAY 72 W
MADISON, AL 35758-9573
Phone number: 256-265-2012
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Mailing Address
Mr. VERNON ARTHUR STATHAM
3400 SPARKMAN DR
HUNTSVILLE, AL 35810
Phone number: 256-509-7976
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